NO CONTACT DIRECTIVE - TEMPLATE

[DATE]

PERSONAL AND CONFIDENTIAL

[STUDENT]

[ADDRESS]

(HAND or E-) DELIVERED AND
REGULAR MAIL AND

CERTIFIED MAIL – RETURN RECEIPT REQUESTED

Dear [STUDENT],

This letter serves as an official directive that you have no contact with [STUDENT 2]. Should you contact [STUDENT 2] in person, by telephone, email, text message or other electronic means of communication, or through a third party (other than an attorney) our office will take immediate action. Should you need to contact [STUDENT 2], you are to do so via this office. [STUDENT 2] has been notified of this directive and has been asked to follow the same instructions.

IF APPROPRIATE AND/OR NECESSARY BASED ON THE INFORMATION GATHERED TO THIS POINT, YOU MAY WANT TO INSERT INFORMATION REGARDING THE NEED TO DISCUSS OR IMPLEMENT CLASS SCHEDULE CHANGES, WORK SCHEDULE CHANGES, AND ADDITIONAL RESTRICTIONS ETC.

Failure to comply with this directive constitutes retaliation (NOTE: “constitutes retaliation” should be used if the compliant involves a possible civil rights violation) and will result in disciplinary action, including possible suspension or expulsion from the [COLLEGE OR UNIVERSITY].

If you have questions about this request, please contact our office immediately at [PHONE NUMBER] or E-MAIL.

Thank you for your cooperation in this matter.

Sincerely,

© ATIXA 2013 All Rights Reserved